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Aspiration Pneumonia Read Assignment Help: How to Answer This Question

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ASPIRATION PNEUMONIA Read the scenario below and identify the likely acute pulmonary complication the patient is experiencing. Explain the underlying pathophysiology (aka. cellular/tissue changes) and relate it to abnormal examination and diagnostic findings. Identify bundled prevention care strategies that should have been initiated upon admission to prevent this specific healthcare-associated pulmonary complication. Explain additional diagnostic testing, medical treatment, and nursing care to treat the patient and/or prevent future complications. https://www.amcli.it/wp-content/uploads/2019/02/nejmra1714562.pdf https://www.patientsafetyinstitute.ca/en/toolsResources/Hospital-Harm-Measure/Improvement-Resources/Aspiration-Pneumonia/Documents/HHIR-Aspiration-Pneumonia-A12.pdf SCENARIO Hospital course: 64 years old male was diagnosed with an ischemic stroke. The stroke team determined no emergent thrombolytic or invasive intervention was indicated, and the patient was admitted to the stroke unit. The left-sided weakness and expressive aphasia persisted. On the 4th hospital day, he became febrile with a temperature of 102.8°F with frequent coughing, productive of purulent sputum. He also had slight tachycardia, tachypnea, and a decreased oxygen saturation on room air. Rhonchi and crackles were heard throughout the right lung. New diagnostic results revealed: Chest x-ray = Right lobe infiltrate without an associated pleural effusion White blood cell count = 20,000 cells/mcL (normal = 4.0-10.0 1000 cells/mcL), with a predominance of neutrophils Arterial blood gases on room air: pH = 7.45 (normal 7.35-7.45), partial pressure of oxygen in arterial blood = 70 mmHg (normal 75-110 mmHg), partial pressure of carbon dioxide in the blood = 38 mmHg (normal = 35-45 mmHg) Sputum culture – Early results positive for Pseudomonas aeruginosa

 
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